Case Manager

Senior Care Partners PACE•Portage, MI

3d•Onsite

About The Position

Case Manager The P rogram of A ll-Inclusive C are for the E lderly (PACE) offers a variety of services, with many of them provided onsite at a PACE Center. PACE is an alternative to nursing home care and – through an interdisciplinary care team (IDT) of physicians, nurse practitioners, nurses, social workers, therapists, van drivers, and aides – coordinates and provides preventive, primary, acute, and long-term care services, so older individuals can continue living in the community. Senior Care Partners PACE is seeking a compassionate and motivated Case Manager to support older adults in maintaining independence and quality of life. This role is ideal for a social work professional who values collaboration, community-based care, and participant-centered services. Primary Purpose Assist in coordinating social service programs in accordance with PACE regulations and organizational policies Support participants, families, and the interdisciplinary team through resource coordination and advocacy

Requirements

Bachelor of Social Work (BSW), licensed in the state of Michigan
Minimum of one year of experience with frail, elderly, or long-term care populations
Case management experience required
Strong collaboration, communication, and problem-solving skills
Detail-oriented with excellent organizational abilities
Ability to maintain confidentiality and professional discretion
Proficiency in MS Office (Word, Outlook, PowerPoint, Excel)
Current CPR certification (or willingness to obtain through Senior Care Partners PACE)
MoCA certification (or willingness to obtain within 90 days of hire)
Demonstrated commitment to compassion, integrity, teamwork, and excellence
Champion of the PACE philosophy and participant-centered care model
Ability to make independent decisions and deliver exceptional customer service
Must have reliable transportation, current valid Michigan driver’s license and car insurance.
Must be 18 years of age or older.
Must be fully vaccinated, or willing to be fully vaccinated against the following communicable diseases: Influenza, MMR, Varicella, Tdap/Td, Covid-19 and Hepatitis B.
Must be willing to work beyond normal hours and be part of our on-call rotation.

Responsibilities

Conduct home visits based on participant needs
Provide emotional support to participants to help maintain independence
Administer assessments and screening tools as required
Serve as an active member of the Interdisciplinary Team (IDT), collaborating closely with behavioral health
Communicate participant changes and contribute to care planning and IDT meetings
Facilitate discussions regarding healthcare wishes and advance directives
Collaborate with caregivers and IDT to plan, arrange, and monitor respite services
Refer participants to appropriate community resources and assist with referrals
Educate and support caregivers and family members
Provide crisis intervention as needed
Document services and interactions in the medical record per policy
Participate in quality improvement activities
Keep leadership informed of concerns or issues
Perform other duties as assigned